Organization Active NPI

Front Range Eye Associates, PC

  • Optometrist
  • Broomfield, CO
National Provider Identifier
1760418156
Registry record updated Oct 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2300 Issued in CO
Legal business name
FRONT RANGE EYE ASSOCIATES, PC
Practice address
13605 Xavier LN
Suite G
Broomfield, CO 80023-3603
Phone
(303) 951-1820
Fax
(303) 951-1826
NPI assigned
Jun 25, 2006
Last updated
Oct 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mary Anne Catherine Murphy, O.D.NPI 1942272588
Title
President
Phone
(303) 951-1820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2300 CO Primary

Addresses

Primary practice location

13605 Xavier LN
Suite G
Broomfield, CO 80023-3603

Mailing address

13605 Xavier LN
Suite G
Broomfield, CO 80023-3603
Phone (303) 951-1820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060808000452 CO Part B Supplier - Clinic/Group Practice 0446253652 Receives reassigned benefits from 6 practitioners
Practice locations: Broomfield, CO
O20100930024559 CO DME Supplier - Physician - OptometristDME Supplier - Optician 0446253652 Practice locations: Broomfield, CO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Front Range Eye Associates, PC13605 Xavier LN, Broomfield, CO 80023-3603(303) 951-1820 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Aug 1, 2006

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255305600000",
    "number": "1760418156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13605 XAVIER LN",
            "address_2": "SUITE G",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800233603",
            "telephone_number": "303-951-1820",
            "fax_number": "303-951-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13605 XAVIER LN",
            "address_2": "SUITE G",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800233603",
            "telephone_number": "303-951-1820",
            "fax_number": "303-951-1826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT RANGE EYE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2009-10-12",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "MARY ANNE",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-951-1820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.